-
hcup-us.ahrq.gov/reports/statbriefs/sb35.jsp
July 01, 2007 - Also ranked in the top 10 were respiratory failure (an indication of the seriousness of this condition … complications
9,600
3.3
1.3
8
Urinary tract infections
8,700
3.0
1.3
9
Respiratory failure
-
digital.ahrq.gov/sites/default/files/docs/citation/r03hs024623-mendonca-final-report-2018.pdf
January 01, 2018 - The clinician focus group addressed five questions: In your practice, to what extent does
success or failure … picture of their home environment, not necessarily with in
an intention to deceive, but perhaps a failure
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/rheumatoid-arthritis-medicine-1_research.pdf
February 01, 2009 - HIV/AIDS, cancer-except non-melanoma skin cancers, chronic renal disease requiring
dialysis, liver failure … and respiratory failure.
-
www.ahrq.gov/patient-safety/reports/advances/index.html
July 01, 2022 - Selby
Impact of Pharmacy-led Dyslipidemia Interventions on Medication Safety and Therapeutic Failure … HMO Research Network CERT Patient Safety Investigators
Cognition, Systems, and Risk
Diagnostic Failure
-
psnet.ahrq.gov/node/49613/psn-pdf
November 01, 2010 - Mother's Milk, but Whose Mother?
November 1, 2010
Dougherty D. Mother's Milk, but Whose Mother? PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
The Case
A 2-month-old otherwise healthy infant was admitted to the hospital to rule out sepsis. The infant had been
exclusively breastfed…
-
psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - The Inside of a Time Out
May 1, 2008
Feldman DL. The Inside of a Time Out. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/inside-time-out
The Case
A 65-year-old man was scheduled for an elective endovascular repair of an abdominal aortic aneurysm.
The patient had an allergy to "IV contrast dye" that was no…
-
psnet.ahrq.gov/node/33853/psn-pdf
March 01, 2018 - In Conversation With… Linda Aiken, PhD, RN
March 1, 2018
In Conversation With… Linda Aiken, PhD, RN. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
Editor's note: Dr. Aiken is Claire M. Fagin Leadership Professor of Nursing, Professor of Sociology, and
Director of the Ce…
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - and use error
Use error
Device defect or failure, including HIT
Unknown
Percentage of Devices … Device defect or failure, including HIT also accounted for 35.3% (147 / 416) of residual harm
across … ,
including HIT
Unknown
Use error
Combination or interaction
of device defect or failure
and use … It does not require that a process failure be identified. … The module
does not require that a process failure be identified.
-
hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2021_IP_MaskedStats.PDF
January 01, 2021 - CC 2,378 0.05
188: PLEURAL EFFUSION WITHOUT CC/MCC 436 0.01
189: PULMONARY EDEMA AND RESPIRATORY FAILURE … AND SHOCK WITH MCC 161,120 3.48
292: HEART FAILURE AND SHOCK WITH CC 28,121 0.61
293: HEART FAILURE … WITH MCC 43,697 0.94
683: RENAL FAILURE WITH CC 48,413 1.04
684: RENAL FAILURE WITHOUT CC/MCC 6,107 … AND SHOCK WITH MCC 161,194 3.48
292: HEART FAILURE AND SHOCK WITH CC 28,127 0.61
293: HEART FAILURE … WITH MCC 43,768 0.94
683: RENAL FAILURE WITH CC 48,429 1.04
684: RENAL FAILURE WITHOUT CC/MCC 6,106
-
cds.ahrq.gov/sites/default/files/workgroups/221/feb-2017-cholesterol-wg-notes.docx
January 01, 2017 - is a fair amount of overlap in indications between hypertension and other conditions, such as heart failure
-
integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/monitor-patient-and-program-progress/prevention-and-response-recurrence-use
July 01, 2023 - Patients need help to understand that setbacks are not a failure and that learning from the circumstances
-
www.ahrq.gov/prevention/resources/rice/ceoutc.html
October 01, 2018 - Failure to maintain such consistency may prevent achievement of the most risk reduction for a given level
-
psnet.ahrq.gov/web-mm/no-blood-please
January 14, 2011 - preferences conflict with provider knowledge of appropriate care, these choices create additional sources of failure
-
effectivehealthcare.ahrq.gov/sites/default/files/thompson_eccs2012.pdf
January 01, 2012 - benefit data
o Insurance
utilization
issues
o Uncertainty, lack of knowledge may result in:
Failure
-
www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/prevention/lifestyle/healthy-women.pdf
May 01, 2014 - High
blood pressure can cause strokes, heart attacks,
kidney and eye problems, and heart failure.
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
February 01, 2022 - TeamSTEPPS To Improve Diagnosis uses the National Academy of Medicine definition of
diagnostic error: “the failure
-
www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
July 01, 2018 - Communication failure: basic components, contributing factors, and the call for structure.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/101-how-integrate-cusp-approach.pptx
June 26, 2024 - How to Integrate a CUSP Approach
15
Align With Principles of High Reliability
Preoccupation with failure
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/iowa-template-appendix1.pdf
June 05, 2025 - P e d R e s id e n tM a s te r mr n 00072117 Date o f b irth : 5/26/2013
Acute respiratory failure
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/learn/learncusp.pptx
April 01, 2011 - Sigma
Institute for Healthcare Improvement Model for Improvement
Plan-Do-Study-Act
Root Cause Analysis
Failure